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This is VAERS ID 1376364

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1376364
VAERS Form:2
Age:35.0
Sex:Female
Location:California
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 - / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received her first dose Pfizer vaccine (LOT#: EW0187 EXP: 8/2021) at 1519 on 6/01/21. Patient alerted EMT at 1535. Patient stated that she felt dizzy about 10 minutes after receiving the vaccine. PHN asked patient to stay an extra 30 minutes for observation. Patient agreed to stay. EMT assessed and took patient vital signs at 1540. BP: 111/65, pulse: 86, O2: 99%. Patient stated that she had not eaten anything before her vaccine. Patient was given a snack and water. Patient finished her snack and drank her water. EMT reassessed and retook patients vital signs at 1550. BP: 105/62, pulse: 85, O2: 99%. Patient stated that her symptoms had subsided. EMT reassessed and retook patients vital signs at 1600. BP: 100/65, pulse: 85, O2: 99%. Patient stated that she no longer had symptoms and did not want to stay the full 30 minutes anymore. Patient was educated on worsening signs and symptoms of the vaccine side effects and when to call EMS or go to the ED/urgent care. Patient verbalized understanding of education. PHN advised patient to stay her full 30 minutes and if she left she would be leaving AMA. Patient agreed and decided to leave vaccination site at 1603. Patient left vaccination site at 1603 unassisted and with a steady gait.

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